Executive Function and the Developing Brain: Implications for Education Philip David Zelazo Institute of Child Development University of Minnesota Executive Function • One of a number of overlapping constructs: Self regulation Effortful control Executive attention Self control Cognitive control Fluid reasoning Executive Function • The brain processes involved in the topdown, goal-directed modulation of attention, thought, emotion, motivation, and action • Processes related to, but different from, “intelligence” – Using knowledge in service of goals • Often discussed in terms of 3 facets: – Cognitive flexibility – Working memory • Holding info in mind and working with it – Inhibitory control Miyake et al. (2000) Interest in Development of EF • Problems with EF are associated with psychiatric disorders w/ child onset – Conduct Disorder, autism, ADHD • Specific problem beh’s such as aggression Interest in Development of EF • EF in childhood predicts key dev’l outcomes: • Self and social understanding – e.g., Carlson et al., 2004 • School readiness (early math and reading ability) – e.g., Blair & Razza, 2007; Bull & Scerif, 2001 – Better than IQ – Teachers say more important to sit still, pay attention, follow rules • Rimm-Kaufmann, Pianta, Cox, 2000 • Predicts SAT scores (Shoda et al., 1990) • Even predicts from preschool to middle age – e.g., Casey et al., 2011 • EF in childhood predicts outcomes at age 32 y: – – – – Physical health Drug dependence SES Criminal convictions – Controlling for SES, IQ when a child Moffitt et al. (2011) EF is Modifiable thru Experience • While stable individual differences (in part because contexts remain stable), EF is clearly malleable • Develops (into adulthood) as the underlying brain processes adapt to the environment Executive Function in Everyday Life • Although much of what we do is habitual, the need for EF is pervasive – We need EF to control attention/ behavior in social contexts, avoid distractions, resist impulses – To change our behavior (break habits) • Dieting, exercise, etc. – Essential for problem solving Represent Plan Execute intend/use Evaluate detect/correct • EF failures can occur in any phase— resulting in inflexibility, rigidity Represent Plan • EF refers to the processes that make problem solving possible Execute Evaluate Cognitive flexibility Working memory Represent Plan Execute Inhibitory control Evaluate Cognitive flexibility Theories of EF explain EF in terms of the brain Working memory Represent Plan Execute Inhibitory control Evaluate EF and the Brain • Long known that EF depends importantly on prefrontal cortex – Front 1/3 brain • Consequences of damage have informed our characterization of EF since the 19th century Phineas P. Gage, foreman working on the construction of railroad track in VT. Accident on 13 Sept., 1848, during which a 3 ft tamping iron was blown through his skull Survived, but despite recovery of general cognitive functions… Impairments in executive function He was “…fitful, irreverent… devising many plans of future operations, which are no sooner arranged than they are abandoned in turn for others appearing more feasible….” (Harlow, 1868) “Dysexecutive” Syndrome • Distractible hyperactivity • Cognitive inflexibility • Lack of self awareness • Impulsivity • “Environmental dependency” • Lhermitte noted that PFC patients exhibit stimulus-driven behavior (use objects reflexively) – E.g., He had one patient who had been a nurse … he casually arranged props in his office such as a sphygmomanometer and tongue depressor. . . From: Lhermitte (1986) Development of Self Control During Childhood • As any parent knows, childhood involves a transformation – From a relatively stimulus-bound, present-oriented infant • Distraction – To a willful toddler • Temper tantrum in check-out aisle – To a preschooler able to think about other people’s perspectives and plan for the future • Plan their birthday party But… the development of planning, inhibitory control, and adaptive decision-making is a slow process, extending into adolescence Example of EF Measure Dimensional Change Card Sort (DCCS) Target Cards Test Cards Told to sort by shape Target Cards Test Cards Told to switch and sort by color Told rules on every trial Basic Results • Regardless of dimension order, 3-year-olds: – Continue to sort by the first dimension (e.g., shape) • Despite: – Demonstrating knowledge of the new rules – When asked, “Where do the red ones go?” they’re correct – “Where does this red one go?” they perseverate, and sort by shape…. • By 4 years, most children switch flexibly • Like adults, seem to know immediately that they know 2 ways of approaching the task (i.e., they step back and reflect on their rules) Reflection changes one’s perspective, providing “psychological distance” from a situation Just as physical distance provides a panorama, psychological distance – shows us the range of possible responses – allows us to select among them Reflection is effortful, develops into adulthood NIH Toolbox Assessment of Neurological and Behavioral Function Opportunity to look at EF across the lifespan as part of the NIH Toolbox project For more information, please visit www.nihtoolbox.org Richard C. Gershon, PhD, PI [email protected] This study is funded in whole or in part with Federal funds from the Blueprint for Neuroscience Research, National Institutes of Health under Contract No. HHS-N-260-200600007-C Toolbox Objective Develop standardized measures of cognitive, emotional, sensory, & motor health and function that are: Brief yet comprehensive Reliable, and validated Freely available and inexpensive to use English & Spanish Appropriate for longitudinal or intervention research Suitable for participants ages 3-85 years EF: 3 to 6 Years 7 6 Score 5 4 Flanker 3 DCCS 2 1 0 Age Group (yrs) Zelazo et al., SRCD Mono Flanker Test of Inhibitory Control and Attention – Feed the fish – Indicate direction of middle fish/arrow EF: 8 to 85 Years Flanker 7.9 DCCS 7.7 Score 7.5 7.3 7.1 6.9 6.7 6.5 Age Group Fits with what we know about the development of PFC Gogtay et al., PNAS, 2004 Developmental Cognitive Neuroscience • The brain is an inherently adaptive organ, which develops as it is used, in a continual interaction with the environment • Cognitive, emotional, behavioral tendencies as skills that depend on the activation of specific neural circuits Neuroplasticity • We grow our brains by using them • We grow our brain in particular ways by using them in particular ways – Periods of relative plasticity Plasticity during Preschool Period – Period of rapid growth (adaptation to environment) suggests window of opportunity (malleability) for top-down skills – Also: – Easier to build good habits when do not first need to break bad habits – Boost in EF prior to a sharp increase in demands placed on children’s EF (i.e., kindergarten) – Initiate a cascade of events: establish positive association to school, > motivation to learn, good relationships w/ teachers, reduce problem behaviors The INSTITUTE OF CHILD DEVELOPMENT Heckman, 2006; Barnett, 2004 The INSTITUTE OF CHILD DEVELOPMENT Preschool Programs & Focal Training • Programs address EF, or effects mediated by changes in EF – Tools of the Mind (Leong, Bodrova) – PATHs (Greenberg et al.) – Chicago School Readiness Project (Raver et al.) • Focal Training of EF – Attention Network Task (Rueda, Posner, Rothbart et al.) – CogMed (Klingberg et al.) – Redescription training on DCCS (Kloo & Perner) The INSTITUTE OF CHILD DEVELOPMENT Effective EF Interventions • Engage children in motivated, goal-directed activity • Require reflection (stepping back, considering) • Continually challenge children’s skills – Increasing levels of difficulty • Involve lots of practice The INSTITUTE OF CHILD DEVELOPMENT Reflection Training – Practice stepping back, reflecting, formulating a higherorder rule – “Oops. When you saw the red one, you pressed the button with red on it, that means you looked at the color… Now, we are playing the shape game - the game with boat and rabbit.” DCCS: 3-year-olds tend to perseverate The INSTITUTE OF CHILD DEVELOPMENT • 3 experiments, kids who failed DCCS: training improved performance, generalized (e.g., theory of mind) Espinet, Anderson, Zelazo, 2013, DCN The INSTITUTE OF CHILD DEVELOPMENT • Reflection training changes in brain activity during the task • Trained children not only did better, but their neural responses now looked like those of older children Photo: Electrical Geodesics Inc. The INSTITUTE OF CHILD DEVELOPMENT Summary • Even a brief intervention aimed at teaching children to reflect on the task and formulate higher-order rules leads to improvement on DCCS • Improvement also seen in flexible perspective taking, and in neural activity Who Can Benefit? • Anyone, but reasons to focus on young • Children at risk – Working with Masten, Carlson to promote EF in preschool children who are currently homeless – Embedded lab with onsite preschool – 3-week curriculum MATH for 26,474 students (2005-2009) 76th General 25% Math score Norm & RPM 4% 79th 18th percentile avg score Free meals 57% HHM 14% th 12 Cutuli et al. (2012) Child Development The INSTITUTE OF CHILD DEVELOPMENT EF Skills Predict School Success 0.5 0.46 Executive Function 0.4 0.3 0.2 0.1 0 -0.1 -0.2 -0.3 -0.4 -0.33 -0.5 Resilient Maladaptive Resilient Maladaptive Group Group Obradovic 2010 Masten et al 2012 The INSTITUTE OF CHILD DEVELOPMENT • May be missing the structure and teaching moments that advantaged children commonly receive • Exposed to prolonged, “toxic” stress – Bottom-up influence that undermines EF • For adequate assessment and training of EF, need to help children calm down, focus A Related Intervention: Mindfulness Mindfulness may be an ideal intervention for promoting EF: Trains sustained reprocessing while also creating conditions conducive to reflection Reducing stress (< cortisol) Increasing openness and curiosity (> dopamine) Mindfulness in Kids • Johnson, Forston, & Zelazo (2013) • Children (N = 20, M = 4.5 years) randomly assigned to: – Mindfulness condition – Active control condition • Learning new songs, reading stories, etc. • Ten 20-min sessions (2/week), tested pre- and post by “blind” examiner (Time 1 and Time 2) Mindfulness Exercises (Examples) • Calming down, reflecting on subjective experience, sustaining reflective attention, empathy • Breathing with stuffed animal on abdomen • Listen to bell fade, raise hands when can’t hear • Feeling of body parts as “scanned” with hula-hoop • Jumping in sync to the sound of a drum beat Outcome Measures • Inhibitory Control/Attention: Flanker – indicate direction of middle stim • Self and Social Understanding (“theory of mind”) Flanker Total Accuracy p < .05 Mindfulness Control ToM Score (0-5) p < .05 Mindfulness Control Summary • Brief mindfulness intervention with preschool age children was well tolerated by children and instructors • Effects are promising, extend to perspective taking • Larger RCT of this curriculum, funded by the Character Lab and KiPP Schools, currently being conducted More Intensive Intervention • • • • • Eighteen 4.5-y-olds 2-week “Mindfulness Camp,” yoga studio Eight 45-minute parent-child classes Daily homework activity No-treatment control (age, sex match) Johnson, Lyons, Forston, & Zelazo Flanker Acc/RT Composite 7 6.5 6 MM C 5.5 5 4.5 4 Pre Post Emotional Go/No-Go: No-Go Trials 65 Percent Correct Percent Correct 65 55 45 35 25 Pre Post Neutral No-Go 55 45 MM C 35 25 Pre Post Affective No-Go Summary • Reflection is key dimension in development • Reflection is malleable (sensitive period) • Reflection training improves EF and ToM, changes neural activity • Mindfulness training also effective – Flanker, ToM, Go-Nogo • Reflection & mindfulness complementary? • Consequences are potentially far-reaching The INSTITUTE OF CHILD DEVELOPMENT Summary • EF is malleable, perhaps especially during the preschool years • We grow our brains by using them in particular ways • Training improves EF, changes neural activity • Consequences are potentially far-reaching The INSTITUTE OF CHILD DEVELOPMENT Acknowledgements Colleagues Wil Cunningham, PhD (Toronto), Silvia Bunge, PhD (UC Berkeley) Doulgas Frye, PhD (Penn) Stephanie Carlson (Minn) Ann Masten (Minn) Students Stacey Espinet, MA (Toronto) Jacob Anderson, MA (Minn) Anna Johnson, MA (Minn) Catherine Ortner, PhD (Thompson Rivers) Kristy Lyons, PhD (Metro State Denver) Philip David Zelazo, PhD Nancy M. & John E. Lindahl Professor Institute of Child Development University of Minnesota [email protected] www.education.umn.edu/icd/faculty/Zelazo.html
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